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Case Reports
. 2011 Feb;17(2):258-61.
doi: 10.3201/eid1702.100442.

Primary amebic meningoencephalitis caused by Naegleria fowleri, Karachi, Pakistan

Sadia Shakoor  1 , Mohammad Asim Beg, Syed Faisal Mahmood, Rebecca Bandea, Rama Sriram, Fatima Noman, Farheen Ali, Govinda S Visvesvara, Afia Zafar
Affiliations
Case Reports

Primary amebic meningoencephalitis caused by Naegleria fowleri, Karachi, Pakistan

Sadia Shakoor et al. Emerg Infect Dis. 2011 Feb.

Abstract

We report 13 cases of Naegleria fowleri primary amebic meningoencephalitis in persons in Karachi, Pakistan, who had no history of aquatic activities. Infection likely occurred through ablution with tap water. An increase in primary amebic meningoencephalitis cases may be attributed to rising temperatures, reduced levels of chlorine in potable water, or deteriorating water distribution systems.

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Figures

Figure A1
Figure A1
Map of Karachi, Pakistan, showing districts where patients 1–13 resided. Dotted-dashed lines indicate town boundaries; gray shading indicates drainage channels.
Figure
Figure
Primary amebic meningoencephalitis (PAM) cases seen in 2008 and 2009 by month (white bars) and average monthly peak temperatures (black line), Karachi, Pakistan. Karachi monthly temperatures obtained from http://www.wunderground.com/global/PK.html.
See this image and copyright information in PMC

References

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